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Permit CITY OF TIGARD PLUMBING PERMIT gi = COMMUNITY DEVELOPMENT Permit#: PLM2014-00172 T f c;AR D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 05/28/2014 Parcel: 2S 102DD01500 Jurisdiction: Tigard Site address: 8740 SW OMARA ST Project: SEYMOUR Subdivision: EDGEWOOD Lot: 8 Project Description: Replacing galvanized water piping with pex piping for(1)clothes washer,(3)sinks,(1)tub,and(1)water heater. Contractor: M B PLUMBING Owner: SEYMOUR, LEN 7112 NE 65TH PLACE 5424 WOODSHIRE CIR VANCOUVER,WA 98661 ANCHORAGE,AK 99516 PHONE: 360-608-9521 PHONE: FAX: FEES Quantity Description Date Amount 1 ea Clothes Washer 05/28/2014 $25.02 Specifics: 3 ea Sink 05/28/2014 $75.06 1 ea Tub/Shower/Shower Pan 05/28/2014 $12.51 Type of Use: SF 1 ea Water Heater 05/28/2014 $37.52 Class of Work: ALT 1 12%State Surcharge- 05/28/2014 $18.01 Type of Const: Plumbing Occupancy Grp: Stories: Total $168.12 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 344. Issued By:/ • - •ermittee Signatur Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Application Building Fixtures FOR OFF l( F. I Si 0\1 l City of Tigard Received `, g DateBy: �_ A. Permit No / u • 13125 SW Hall Blvd.,Tigard,OR 97223 �� •'r Plan Review Other Permit No.: ■ Phone: 503.718.2439 Fax: 503.598. Other Inspection Line: 503.639.4175 I IGARD Date Read B y runs: ® See Page 2 for Internet: www.tigard or.gov _-\Qt Notified/Method: g► Supplemental Information TYPE OF MK `1% ,'`l FEE* SCHEDULE A�� P' � ❑New construction ❑i itio O.,- ��1'' For special information use checklist 01 \ Description I Qty. Ea. I Total t[Addition/alteration/replacement ❑Orel \l` New 1-2-family dwellings(includes 100 ft.for each utility connection) CATEGORY OF CONSTR1k ‘� SFR(1)bath 312.70 I-and 2-family dwelling ❑Cdi'nmercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building ❑Multi-family Each additional bath/kitchen 25.02 ❑Master builder ❑Other: Fire sprinkler( sq.ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: Si LA u SW ,p,r Catch basin or area drain 18.76 City/State/ZIP: Drywell,leach line,or trench drain 18.76 TiF,Al2D o2 9'7223 , Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: l Project name: Manufactured home utilities 50.03 Cross street/directions to job site: Manholes 18.76 � is zq 1400 ` � Rain drain connector 18.76 [/lv w[�ii Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: l Lot no.: Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 DESCRIPTION OF WORK Backwater valve 12.51 n Clothes washer / 25.02 . 0? Mt/30a- LT'- LA/43e I PL4,60.4,w r W/ nix- Dishwasher 25.02 . ,,,,nh2ty L) c.-t1ett4s 0 C3mmiesotlt\._ Drinking fountain 25.02 Ejectors/sump 25.02 gPROPERTY OWNER I ❑ TENANT Expansion tank 12.51 �� ^-, �� /1�t)U2 Fixture/sewer cap 25.02 Name: i[l�+ -_ Address:I/30 Floor drain/floor sink/hub 25.02 I/30 SW �� (IIJA' Garbage disposal 25.02 City/State/ZIP: I o.3` oft_ erb6.. Hose bib 25.02 Phone:(57b3) 5,-15- 45.38 Fax:( ) Ice maker 12.51 Ea APPLICANT ❑ CONTACT PERSON Interceptor/grease trap 25.02 Business name: S 6.67z.,,,_ t l i.L Medical gas(value:$ ) Page 2 Contact name: Primer 12.51 riSrLe41/t- Roof drain(commercial) 12.51 Address: tb f304_ 83 Sink/basin/lavatory 3 25.02 7 5 a0 City/State/ZIP: --rooK J,a2 Cl7n`2 Solar units(potable water) 62.54 Phone:(03) Ste.45-3g `II'Fax::( ) Tub/shower/shower pan I 12.51 /,1.cj •E-mail: f J$! e*... L I i4&„S e. s I, ` Urinal 25.02 CONTRACTOR Water closet 25.02 CC 11 Water heater 1 37.52 3 7 c�c Business name: 14A:2-:„ ?LOU\ ■J(-1 L_ -c,._ Water piping/DWV 56.29 Address: -7w2 Ne (,5f"` Ptcc Other: 25.02 City/State/ZIP: VAA(oojti1L_, tar 01 TLC ( Subtotal ISO. 11 c97/ ) S0G _7( 3y ( ) Minimum permit fee: $72.50 Phone: 1 1 Fax: CCB Lie.: ID5 Plan review (25%of permit fee) >59 285 .//4//(p Plumbing Lic.no.: 37 /r 5 7/(( State surcharge(12%of permit fee) j Authorized signat � I TOTAL PERMIT FEE '(6g 1^ Print name: Aka- tram_ Date: 72 7//fl This permit application expires if a permit is not obtained wit n 180 days after it has been accepted as complete. *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qty. Fee(ea) Total Square Footage: Permit Fee: Footing drain-1'100' 50.03 0 to 2,000 $121.90 Footing drain-each additional 100' 37.52 2,001 to 3,600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 7,201 and greater _ $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52 Valuation: Permit Fee: Storm&Rain Drain-1st 100' 62.54 $1.00 to$5,000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5,001.00 to$10,000.00 $72.50 for the first$5,000.00 and$1.52 for Other Inspections or Fees Qty. Fee(ea) Total each additional$100.00 or fraction thereof,to P and including$10,000.00. Inspection of existing plumbing or for $10,001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no fee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to (minimum charge 1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours) each additional$100.00 or fraction thereof,to Reinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50,001.00 and up $742.00 for the first$50,000.00 and$1.20 for (minimum charge 1/2 hour) each additional$100.00 or fraction thereof. Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? if"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Plan Review for Plumbing Installations Quantity by Fixture Type Plan review is required for any of the following. Fixture Type for Replace/ Please check all that apply. Work Performed: Capped Added Relocate ❑ Any new commercial building with water service 2"and Baptistry/Font greater,except systems designed and stamped by licensed Bath: -Tub/Shower engineer. -Jacuzzi/Whirlpool Car Wash: Each Stall ❑ New exterior plumbing site utilities for any complex structure Drive tall as defined in OAR918-780-0040. Cuspidor/Water Aspirator ❑ Medical gas and vacuum systems for health care facilities. Dishwasher: Commercial ❑ Any multipurpose fire sprinkler system. Domestic ❑ Any complex structure as defined in OAR918-780-0040. Drinking Fountain Eye Wash Submit 2 sets of plans with any of the above. Floor Drain/sink: -2" 3" Isometric or Riser Diagram 4" ❑ Isometric or riser diagram is required for new buildings -Car Wash Drain Garbage Domestic non-food _ that meet the qualifications above. Disposal: -Domestic food related -Commercial food related -Industrial food related Ice Mach./Refrig.Drains Comments regarding fixture work: Oil Separator(Gas Station) Rec.Vehicle Dump Station Shower: -Gang -Stall Sink: -Lav/Bar non-food related -Bradley -Com/Serv/Util food related -Service *Note: If the fixture work under this permit results in an Swimming Pool Filter increase of sewer EDUs,a sewer permit will be issued and Washer-Clothes fees assessed for the sewer increase must be paid before the Water Extractor WaterCloset-Toilet - plumbing permit can be issued. Urinal Other Fixtures: C\Building\Permits\PLMF_PermitApp.doc 08/04/2011 2 Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8740 SW OMARA ST, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal PASS - No C of O March 19, 2015 at 9:15:15 AM PLM2014-00172 David Young Seal around condensate line at exterior. Other corrections done. Will check at mechanical ﬁnal. Violation Summary: Inspector Contractor Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 8740 SW OMARA ST, TIGARD, OR, 97223 Residential - Plumbing 399 Plumbing ﬁnal FAIL PLM2014-00172 George Heimos 1. Provide approved location for water heater pan and pressure relief tube discharge. 507.3 2. Recall inspection when corrections have been completed. Re-inspection required. 103.5.6.1 Violation Summary: Inspector Contractor